Fertility outcomes in men with prior history of anabolic steroid use

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Listen to this interview featuring Dr. Ranjith Ramasamy and Dr. Braian Ledesma, who discuss their recent article "Fertility outcomes in men with prior history of anabolic steroid use." A medical researcher and urologist, Dr. Ramasamy is known for academic contributions to reproductive medicine, including testosterone deficiency, regenerative therapy, erectile dysfunction, and prostate cancer studies. He is the recipient of the American Society for Reproductive Medicine's Rosenwaks Young Investigator Award. He published a study in JAMA on the impact of COVID-19 vaccines on male fertility. He is the Director of the Reproductive Urology Fellowship program at the University of Miami's Miller School of Medicine.
 
*A significant proportion of men with a prior history of anabolic steroid use continue to exhibit severe oligospermia, with approximately 50% failing to demonstrate substantial improvement even after undergoing a six-month treatment protocol.

 
So always use HCG when on TRT?

If your goal is to preserve/maintain fertility or minimize/prevent testicular atrophy then yes.

Would always be wise to have a baseline SA (semen analysis) done before jumping on exogenous T.

When it comes to fertility the gold standard would be hCG + rFSH as they work synergistically.

Even then one may achieve a better effect when it comes to testicular atrophy when adding in FSH.

Unfortunately, FSH is expensive.






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